MEDICARE: LAURA GROSSMAN PTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	06005110A	IN

General Provider Information

NPI Number	:	1710346028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA GROSSMAN PTA

Provider Business Mailing Address
First Line	:	8259 WICKER AVE
Second Line	:
City	:	SAINT JOHN
State	:	IN
Zip	:	46373-8878
Country	:	US
Telephone Number	:	219-365-6560
Fax Number	:	219-365-6561

Provider Business Practice Location Address
First Line	:	3210 WATLING ST
Second Line	:
City	:	EAST CHICAGO
State	:	IN
Zip	:	46312-1716
Country	:	US
Telephone Number	:	219-399-3133
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2016
Last Update Date	:	05/06/2016

Similar Medicare Providers

1528172061 — KAREN LOUNSBURY PT
Practice Location Address:

3210 WATLING ST , 8-210
EAST CHICAGO, IN
46312-1716

Practice Phone: 219-399-6668
Practice Fax:

1154574473 — MRS. CHRISTINE MARIE ZGORKA M.S.
Practice Location Address:

3210 WATLING ST # 8-210
EAST CHICAGO, IN
46312-1716

Practice Phone: 219-399-6067
Practice Fax: 219-399-5814

1891024261 — MRS. SCARLET RAE SPAIN MSN, FNP-BC
Practice Location Address:

3210 WATLING ST , MEDICAL DEPT. 8-210
EAST CHICAGO, IN
46312-1716

Practice Phone: 219-399-3133
Practice Fax: 219-399-5814

1548127038 — NYAMEATE ADU ASANTE
Practice Location Address:

1034 W LAKE ST
CHICAGO, IL
60607-1716

Practice Phone: 312-705-2004
Practice Fax: 312-605-0065

1942276159 — DANIEL WOODS MD
Practice Location Address:

2107 CHICAGO AVE
SAVANNA, IL
61074-1716

Practice Phone: 815-273-3323
Practice Fax:

1710947353 — SUE THOMAS PT
Practice Location Address:

2107 CHICAGO AVE
SAVANNA, IL
61074-1716

Practice Phone: 815-273-3323
Practice Fax:

Directions to “ LAURA GROSSMAN PTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.